| NPI | 1619710308 |
|---|---|
| Former Name | KATELYN BAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: TN 7983) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-06-18 |